Healthcare Provider Details

I. General information

NPI: 1184577223
Provider Name (Legal Business Name): CHRISTOPHER EDWARD GEHRKE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/18/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6890 W ANDREW JOHNSON HWY
TALBOTT TN
37877-8610
US

IV. Provider business mailing address

1819 CLINCH AVE STE 218
KNOXVILLE TN
37916-2435
US

V. Phone/Fax

Practice location:
  • Phone: 423-839-2120
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number41319
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: